Individual
BACH-MAI VU-BOAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 WALNUT ST STE 205, LEMOYNE, PA 17043-1168
(717) 988-0090
Mailing address
4401 PENN AVE, FACULTY PAVILION 8133, PITTSBURGH, PA 15224-1334
(412) 692-5170
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
MD469680
PA
Other
Enumeration date
03/26/2009
Last updated
08/20/2021
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